Healthcare Provider Details

I. General information

NPI: 1417880600
Provider Name (Legal Business Name): JULIA CRONIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 CHARLTON RD STE 10
STURBRIDGE MA
01566-1571
US

IV. Provider business mailing address

71 ORTON STREET EXT
WORCESTER MA
01604-1987
US

V. Phone/Fax

Practice location:
  • Phone: 774-241-3905
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA4688
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: